One of the major goals of therapy for a patient with a head injury is to control rising intracranial pressure (ICP). What assessment data would first cause the nurse to suspect rising ICP?
A) Deteriorating level of consciousness
B) Brisk pupils with equal reactivity
C) Absence of speech secondary to sedative use
D) Narrow pulse pressure and hypotension
A
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While working with a client to establish outcomes for treatment, the nurse believes that an outcome
suggested by the client is not in the client's best interest. The best action for the nurse would be to a. remain silent. b. tell the client that the outcome is not realistic. c. formulate a different, appropriate outcome for the client. d. explore the consequences that might occur if the outcome is achieved.
When describing who is responsible for changing the public's image of nursing, which entity would be most appropriate?
A) Professional nursing organizations B) Corporate coalitions C) Nurses D) Media
If the patient has an open pneumothorax, cover it with an occlusive dressing taped on how many sides?
A) Two B) One C) Four D) Three
During a health fair, the nurse is alert for which risk factors for hypertension? Select all that apply
a. Excessive protein intake b. Having parents with hypertension c. Excessive alcohol intake d. Being Asian e. Experiencing persistent stress f. Elevated serum lipids